| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,258.00 | $3,940.00 | $7,602.00 | |
Aetna
| Professional | $2,940.00 | $4,069.00 | $10,234.00 | |
BCBS
| Facility | $3,391.00 | $9,265.00 | $16,629.00 | |
Lucent Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $5,052.00 | $10,886.00 | $19,168.00 |